The JMIR Career Center is an online platform dedicated to connecting professionals in the digital health field with job opportunities and career resources. It serves as a centralized hub where employers can post job openings, and individuals can explore a range of employment opportunities within the rapidly evolving intersection of healthcare and digital technologies.
For sales inquiries and support, please contact Erik Kersteter @ erik.kersteter@naylor.com or call 703-964-2784
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BJC is currently seeking a Coding Analyst - Denial. The ideal candidate will possess 2-5 years of experience in coding Professional Evaluation and Management (E/M) as well as surgical coding in specialties such as Cardiology, Orthopedics, ENT, OBGYN, and General Surgery, along with billing and denial management.
Certification as a CPC, CCS, or RHIT is required. The primary responsibility of this role includes reviewing coding denials for E/M and surgical claims for our providers at the Medical Group.
Overview
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC?s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children?s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
Preferred Qualifications
Role Purpose
The Coding Analyst works independently to analyze and resolve coding related billing edits while adhering to all regulatory guidelines. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CPC, CPC-A, CCA, COC, or CIRCC.
Responsibilities
Stays current of all changes in coding conventions, regulatory guidelines, code updates and BJC coding guidance.
Using critical thinking skills, analyzes and resolves coding related billing edits and denials.
Reviews and analyzes patient encounters for compliant coding as needed.
Effectively collaborates with leadership and customers (Revenue Cycle Management, Hospital Departments, and other departments) as appropriate to resolve edits.
Determines need for and executes escalation procedures.
Minimum Requirements
Education
High School Diploma or GED
Experience
2-5 years
Supervisor Experience
No Experience
Licenses & Certifications
Cert/Lic in Area of Expertise
Preferred Requirements
Experience
5-10 years
Benefits and Legal Statement
BJC Total Rewards
At BJC we?re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
Disability insurance* paid for by BJC
Annual 4% BJC Automatic Retirement Contribution
401(k) plan with BJC match
Tuition Assistance available on first day
BJC Institute for Learning and Development
Health Care and Dependent Care Flexible Spending Accounts
Paid Time Off benefit combines vacation, sick days, holidays and personal time
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer